Individual provider Active NPI

Daniel Caleb Sheffield, DO

  • Emergency Medicine Physician
  • Bainbridge Island, WA
National Provider Identifier
1215290515
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OP60645667 Issued in WA
Practice address
1344 Wintergreen Lane
Ste 100
Bainbridge Island, WA 98110
Phone
(206) 201-0488
Fax
(206) 201-0490
NPI assigned
Jun 21, 2012
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO176813 OR
Emergency Medicine Physician 207P00000X 14911 CA
Emergency Medicine Physician 207P00000X OP60645667 WA Primary

Addresses

Primary practice location

1344 Wintergreen Lane
Ste 100
Bainbridge Island, WA 98110

Mailing address

1344 Wintergreen Lane
Ste 100
Bainbridge Island, WA 98110
Phone (206) 201-0488

Other identifiers 1

IdentifierTypeStateIssuer
2061220MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160822000405 WA Practitioner - Emergency Medicine 7810282480 Reassigns benefits to 3 organizations
I20161014001183 CA Practitioner - Emergency Medicine 7810282480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1344 Wintergreen LN NE
Suite 100
Bainbridge Island, WA 98110-5118
Phone (206) 201-0488

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60645667WAMDEmergency Medicine Physician
14911CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Observation Associates PC CurrentSince Dec 26, 2023 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Oct 2, 2023 Accepting new patients
Franciscan Medical Group CurrentSince Oct 2, 2023 Accepting new patients
San Francisco Physicians International Medical Group, Inc Emergency Medicine CurrentSince Sep 15, 2016 Accepting new patients

Locations

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

1344 Wintergreen Ln NE
Unit 100
Seattle, WA 98110
Phone (206) 201-0488

11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1215290515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 WINTERGREEN LANE",
            "address_2": "STE 100",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "98110",
            "telephone_number": "206-201-0488",
            "fax_number": "206-201-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 WINTERGREEN LANE",
            "address_2": "STE 100",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "98110",
            "telephone_number": "206-201-0488",
            "fax_number": "206-201-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "DANIEL",
        "middle_name": "CALEB",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "DO176813",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "14911",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP60645667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061220",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

Verify at the official NPI Registry.